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Would national vaccine mandates work in Canada? Experts aren't sure – CBC.ca

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With European states turning to mandatory national vaccination regimes to deal with record COVID-19 infections, experts in Canada say that while science and the law may back the Liberal government if it chose to follow suit, it might not be the panacea the public is hoping for.

There are significant challenges to imposing a national mandatory vaccination program for all Canadians, the first of which is the age-old jurisdictional battle between the federal government and the provinces.

Under the Constitution, the provinces are responsible for delivering health care, and a vaccine mandate would fall under that remit. If the federal government wanted to take over that responsibility, it would have to either use the Emergencies Act or pass legislation giving it the authority to act.

“To do that, all hell would break loose from the provinces,” Michael Behiels, a constitutional law expert at the University of Ottawa, told CBC News. “It’s theoretically possible, but this would go to court immediately, and they would have to prove that the crisis is in fact a national crisis.”

Behiels said a federal government taking this route would likely win any challenge in court, providing it could prove that the rate of infections, the death rate and ongoing mutations were creating a threat only a national response could mitigate.

Even in victory, he said, the move would likely create a backlash among provincial governments that see the step as unnecessary at this stage of the pandemic.

“Up until this moment in Canada, there has not really been a need to consider it,” Dr. Allison McGeer, an infectious disease specialist at Toronto’s Mount Sinai Hospital, told CBC News.

“We’re not back to normal, but we’re getting there — and there’s no guarantee that we’ll be right back to normal even if everybody is vaccinated because there are breakthrough infections,” said McGeer, who is also a professor at the Dalla Lana School of Public Health at the University of Toronto. 

Context is everything

Behiels said a national vaccine mandate could not only create bad blood between the unvaccinated and the federal government but also between the provinces and Ottawa that could undermine the vaccination effort.

If the situation were different, he said, with a much higher death rate or a more aggressive infection rate, making that move might be easy and the provinces might even ask for the intervention if the situation got bad enough. But experts are not sure Canada has reached that point just yet.

European countries such as Austria and Greece appear to believe they have, and they’re moving in the direction of national vaccine mandates because they are seeing infection rates three times higher than at any other time during the pandemic, and vaccination programs have stalled.

Protesters against COVID-19 measures in Vienna on Nov. 20. European countries such as Austria and Greece are moving in the direction of national vaccine mandates because they are seeing infection rates three times higher than at any other time during the pandemic, and vaccination programs have stalled. (Leonhard Foeger/Reuters)

In January, Greeks over the age of 60 who are not yet vaccinated will be subject to a monthly fine of 100 euros ($140 Cdn). Slovakia is looking at taking the opposite route and offering 600 euros ($844) to encourage people to get their shots.

Austria, with one of the lower vaccination rates in the European Union, is looking at plans that, if implemented, would fine unvaccinated Austrians more than 7,000 euros ($9,880). There are already signs that enforcing that mandate will be a challenge; late last month some 40,000 protesters turned up in Vienna to challenge the new rules.

Only 67 per cent of the EU’s population has been fully vaccinated against COVID-19, according to Our World in Data, while in Canada, 76 per cent of the population is fully vaccinated. Greece sits at 64 per cent, while Austria’s population is only 66 per cent fully vaccinated.

Germany isn’t much better at 68 per cent, and countries such as Hungary have some of the lowest vaccination rates in Europe at just 61 per cent.

Both Germany and Hungary are experiencing record infection rates, and both are turning to strict national policies to try to turn the tide. For now, Germany is only talking about mandatory vaccination. Hungary, however, is allowing companies to impose the policy on employees and compel any unvaccinated staff to take unpaid leave until they get immunized.

In Canada, by comparison, all passengers travelling on planes and trains must be fully vaccinated, as must the staff working in those sectors. All federal employees must also be fully vaccinated.

Reasons for hesitancy

McGeer and other infectious disease physicians, such as Dr. Isaac Bogoch of the University of Toronto and Dr. Gerald Evans, chair of the division of infectious diseases at Queens University in Kingston, Ont., all agree that the goal some European states are pursuing — a fully vaccinated population — is a worthy one.

But they also agree that imposing mandatory vaccination regimes across the population might cause an uproar, stress the goodwill between Canadians and their government and, in the end, not deliver the desired results.

“Say it works and you actually get huge numbers of people now being vaccinated because of the imposition of fines or restrictions. The fact of the matter is that it would help, it would have an impact,” Evans said.

“If we had 95 to almost 100 per cent of the population vaccinated, this virus would have one devil of a time trying to maintain itself in the environment.”

Health-care workers who oppose mandatory vaccinations and the suspension from work for those who refuse to get the shots chant slogans during a protest outside the Greek parliament in Athens in November. (Petros Giannakouris/The Associated Press)

Bogoch agreed with the sentiment that more vaccinations are necessary, but he remains unsure that a mandatory vaccine regime would have the desired effect.

“There are multiple reasons why people remain unvaccinated, and understanding those reasons and tailoring your response to those reasons is usually a more effective approach so you don’t further alienate people in an already polarized world,” he said.

Bogoch says there are typically four types of unvaccinated Canadians. The first two are people who intend to get vaccinated but have not gotten around to it yet and people who work multiple jobs or are single parents and have not had the time or opportunity to get vaccinated. Bogoch says these groups likely wouldn’t be put off by a vaccine mandate.

But the other two — people with lingering concerns and anxieties and people who have been influenced by misinformation campaigns — might be pushed further away from vaccination by a mandate, he says.  

One size does not fit all

Within those groups, experts say, there are subgroups turned off of vaccination for different reasons.

“People who are white, rich, highly educated and born in Canada have much more faith in the public health system and have much more willingness to believe their government, so we get higher vaccination rates,” McGeer said.

“Racialized communities who already are at strikingly higher risk of being infected with COVID are the very people who have more trouble in deciding to get vaccinated and with good reason.”

She added, “Vaccine mandates are systemically inequitable, and you can work to mitigate it, but you can’t fix it.”

Bogoch says the best way to increase vaccination rates is to understand why each group won’t get vaccinated and then try to meet them on their ground: If they can’t get to a vaccination clinic because they are too busy, use mobile clinics, he says. If they still have lingering questions, sit them down with health professionals and try to answer their questions. If they have been influenced by misinformation, try to combat those false narratives. But don’t, Bogoch says, try to motivate everyone with the same approach.

“There is not a one-size fits all solution to this problem,” he said.

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Tampa Bay Lightning select Victor Hedman as captain, succeeding Steven Stamkos

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TAMPA, Fla. (AP) — The Tampa Bay Lightning selected Victor Hedman as the team captain on Wednesday as training camp opened, making the big defenseman the successor to Steven Stamkos.

Hedman, who is going into his 16th season with Tampa Bay, was considered the obvious choice to get the “C” after the Lightning did not re-sign Stamkos and their longtime captain left to join Nashville.

“Victor is a cornerstone player that is extremely well respected by his teammates, coaches and peers across the NHL,” general manager Julien BriseBois said. “Over the past 15 seasons, he has been a world-class representative for our organization both on and off the ice. Victor embodies what it means to be a member of the Tampa Bay Lightning and is more than ready for this exciting opportunity. We are looking forward to watching him flourish in his new role as we continue to work towards our goal of winning the Stanley Cup.”

The 33-year-old from Sweden was a key contributor in the Lightning hoisting the Cup back to back in 2020 and ’21, including playoff MVP honors on the first of those championship runs. Hedman also took home the Norris Trophy as the NHL’s top defenseman in 2018 and finished in the top three in voting five other seasons.

Ryan McDonagh, who was reacquired early in the offseason in a trade with the Predators, and MVP finalist Nikita Kucherov will serve as alternate captains with the Lightning moving on to the post-Stamkos era.

___

AP NHL:

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Toronto FC Jason Hernandez looks to clean up salary cap and open up the future

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TORONTO – While Toronto FC is looking to improve its position on the pitch, general manager Jason Hernandez is trying to do the same off it.

That has been easier said than done this season.

Sending winger Jahkeele Marshall-Rutty to CF Montreal for up to $1.3 million (all dollar figures in U.S. funds) in general allocation money before the secondary transfer window closed in early August helped set the stage for future moves.

But there have been plenty of obstacles, which Hernandez has been working to clear.

“We feel a lot more confident going into this upcoming off-season that we did the one prior,” said Hernandez. “There’s a level of what I would say booby-traps that were uncovered when I first got the (GM) role at the end of last summer.”

The club is paying off departed forwards Adam Diomande and Ayo Akinola as well as a $500,000 payment due in 2024 to Belgium’s Anderlecht for Jamaican international defender Kemar Lawrence. That payment was part of the transfer fee for Lawrence, who joined TFC from Anderlecht in May 2021 and was traded to Minnesota United in March 2022.

Diomande was waived while Akinola’s contract was terminated by mutual agreement.

“That comes to an end in ’25, which is nice,” said Hernandez. “We had to suffer from a salary cap perspective this season. But those things coming off, the Jahkeele Marshall-Rutty money coming in, we’re going to be in a position to make some good additions, which is positive.”

While MLS clubs are allowed one contract buyout per year, Toronto had already used its on former captain Michel Bradley, who retired after last season. Bradley had previously restructured his contract, deferring money.

TFC’s only other move during the summer transfer window was the signing of free-agent defender Henry Wingo. Hernandez said the club knew going into the window that it was likely limited to the one acquisition “unless other business happened”

“We knew we had this bucket of money and we knew we were going to go get Henry,” said Hernandez.

While the sale of the highly touted Marshall-Rutty opened up other possibilities, it came on the eve of the transfer window closing. And the team did not like what it saw in the free-agent market.

“A lot of the opportunities we were presented in the free agency space felt more like a short-term, Band-Aid decision versus what actually the club probably needs.”

Hernandez was not willing to take in players who came with a “club-friendly” salary cap charge in 2024 and a much bigger number in 2025.

Instead, Toronto promoted forward Charlie Sharp and wingback Nate Edwards to the first team from TFC 2 ahead of last Friday’s roster freeze.

MLS teams are operating on a salary budget of $5.47 million this season, which covers up to 20 players on the senior roster (clubs can elect to spread that number across 18 players). But the league has several mechanisms that allow those funds to go further, including using allocation money (both general and targeted) to buy down salaries.

Designated players only count $683,750 — the maximum salary charge — against the cap no matter their actual pay. Toronto’s Lorenzo Insigne is actually earning $15.4 million with fellow Italian Federico Bernardeschi collecting $6.295 million and Canadian Richie Laryea $1.208 million.

Hernandez says Laryea’s contract can — and “very likely” will — be restructured so as to remove the designated player status.

There are benefits in going with just two designated players rather than three.

Teams that elect to go with two DPs can sign up to four players as part of the league’s “U22 Initiative.” The pluses of that structure include a reduced salary cap charge for the young players and up to an extra $2 million in general allocation money.

Hernandez says the club is currently pondering whether that is the way to go.

Captain Jonathan Osorio who is earning $836,370 this season, restructured his deal to allow the team to sign Laryea as a DP. In doing so, Osorio had his option year guaranteed so his contact runs through 2026.

Hernandez and coach John Herdman will have decisions to make come the end of the year.

The contracts of goalkeeper Greg Ranjitsingh ($94,200), defenders Kevin Long ($277,500), Shane O’Neill ($413,000) and Kobe Franklin ($100,520), midfielder Alonso Coello ($94,050) and Brandon Servania ($602,710), and forward Prince Owusu ($807,500) — all on the club’s senior roster — expire at the end of 2024 with club options to follow.

While there is more work to do, Hernandez believes TFC is on the right road.

Toronto, which finished last in the league at 4-20-10 in 2023, went into Wednesday’s game against visiting Columbus in a playoff position at eighth in the East at 11-15-3.

“By every metric, we are miles ahead of where we were at this point last year,” said Hernandez.

“That’s a low bar, so that’s not saying much,” he added.

But he believes TFC is “quite competitive” when it has all its players at its disposal.

“To get results in this final stretch, we’re going to need our prominent players to really show up and have big performances, and be supported by the rest of the cast.”

After Columbus, TFC plays at Colorado and Chicago and hosts the New York Red Bulls and Inter Miami. The club also travels to Vancouver for the Canadian Championship final.

Follow @NeilMDavidson on X platform, formerly known as Twitter

This report by The Canadian Press was first published Sept. 18, 2024



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Canada’s Hughes may be what International team has been missing at Presidents Cup

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Mackenzie Hughes might just be what the International team needs as this year’s Presidents Cup.

Hughes, from Dundas, Ont., is one of three Canadians on the squad competing in the match-play event at Royal Montreal Golf Club next week.

His putting skills, cool demeanour under pressure, pre-existing connections with teammates and clubhouse leadership could help the team — made up of non-American players outside Europe — end a nine-tournament losing skid to the United States at the biennial event.

“I’ve had this one circled on the calendar for a few years now,” said Hughes on joining fellow Canadians Taylor Pendrith and Corey Conners as captain’s picks on the 12-player International team. “I pretty much knew that when it was announced the tournament would be in Canada and that Mike Weir was going to be the captain, you pretty much knew where that was going to go.

“To get that call from (Weir) is really special because he’s the guy that I looked up to, we all looked up to, as Canadian golfers.”

Pendrith and Conners are returning to the team after a disappointing 17 1/2 to 12 1/2 loss to the United States at Quail Hollow Club in Charlotte, N.C. in 2022.

Hughes was ranked 14th on the International team standings in 2022 and could have easily been included on that squad after Australia’s Cameron Smith and Chile’s Joaquin Niemann were ruled ineligible after jumping ship to the rival LIV Golf circuit.

However, captain Trevor Immelman of South Africa instead chose the lower ranked Christiaan Bezuidenhout (16th) of South Africa, Pendrith (18th), South Korea’s Kim Si-woo (20th) and Australia’s Cameron Davis (25th).

“I certainly wanted to be on that team but also I understood the picks,” said Hughes, who lives in Charlotte and plays at Quail Hollow regularly. “I think that like a lot of guys that don’t get picked you more so look back on your own play and I wish I had made that selection easier for them.

“I didn’t do myself any favours in the six weeks leading up to it and that’s a hard pill to swallow.”

It may have been a costly oversight on Immelman’s part, as finishing holes was an issue for the International team in 2022 and Hughes is one of the best putters on the PGA Tour. This season he’s third in shots gained around the green and fifth in shots gained from putting.

“It doesn’t mean that just because I was there it would have turned the tide, but I’d like to think maybe I could have helped,” said Hughes. “That’s why you play the matches. You have to get out there and do it.”

This year Hughes made it easier for Weir, the Canadian golf legend from Brights Grove, Ont., to choose him. Hughes is 51st in the FedEx Cup Fall standings and has made the cut seven tournaments in a row, including a tie for fourth at last week’s Procore Championship.

“Mac played very solidly all year. Really like his short game, an all-around short game,” said Weir on Sept. 3 after announcing his captain’s picks. “He’s one of the elite and best short game guys on the PGA Tour

“I also love Mac’s grit. So that was the reason I picked him.”

Hughes’s intangible qualities go beyond grit.

He, Pendrith and Conners will arrive at Royal Montreal as a unit within the International squad, having become close friends while playing on Kent State University’s men’s golf team before turning pro. They’re also part of a group of Canadians, including Nick Taylor and Adam Hadwin of Abbotsford, B.C., that regularly practice together before PGA Tour events.

“To have those guys with me is really icing on the cake, it’s very special,” said Hughes. “Opportunities like this don’t come around very often: to play this kind of team competition, which is already hard to do, but to play with some of your best friends, it almost seems scripted.”

An 11-year professional, Hughes has also been a member of the PGA Tour’s player advisory council the past two years and has been an outspoken advocate for making professional golf more accessible to fans.

Although Weir relied heavily on analytics to make his captain’s selections, Hughes’s character came up again and again when asked why he was named to the team.

“I just have a gut feeling with Mac that he has what it takes in these big moments,” said Weir. “They’re big pressure moments, and I have a feeling he’s going to do great in those moments.”

DP WORLD TOUR — Aaron Cockerill of Stony Mountain, Man., continues his chase for a spot in the Europe-based DP World Tour’s playoffs. The top 50 players on the Race to Dubai standings make the DP World Tour Championship and Cockerill moved eight spots up to 39th in the rankings after tying for ninth at last week’s Irish Open. He’ll be back at it on Thursday at the BMW PGA Championship at the Wentworth Club in Surrey, England.

KORN FERRY TOUR — Myles Creighton of Digby, N.S., is ranked 38th on the second-tier Korn Ferry Tour’s points list. He leads the Canadian contingent into this week’s Nationwide Children’s Hospital Championship. He’ll be joined at Ohio State University Golf Club — Scarlet Course in Columbus, Ohio by Edmonton’s Wil Bateman (53rd), Etienne Papineau (65th) of St-Jean-Sur-Richelieu, Que., and Sudarshan Yellamaraju (99th) of Mississauga, Ont.

CHAMPIONS TOUR — Calgary’s Stephen Ames is the lone Canadian at this week’s Pure Insurance Championship. He’s No. 2 on the senior circuit’s points list. The event will start Friday and be played at Pebble Beach Golf Links and Spyglass Hill Golf Course in Monterey, Calif.

LPGA TOUR — There are four Canadians in this week’s Kroger City Championship. Savannah Grewal (97th in the Race to CME Globe Rankings) of Mississauga, Ont., Hamilton’s Alena Sharp (115th), and Maude-Aimee Leblanc (142nd) of Sherbrooke, Que., will all tee it up at TPC River’s Bend in Maineville, Ohio.

EPSON TOUR — Vancouver’s Leah John is the low Canadian heading into the Murphy USA El Dorado Shootout. She’s 54th in the second-tier tour’s points list. She’ll be joined by Maddie Szeryk (118th) of London, Ont., and Brigitte Thibault (119th) of Rosemere, Que., at Mystic Creek Golf Club in El Dorado, Ark.

This report by The Canadian Press was first published Sept. 18, 2024.



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